Evidence map›Paper›PMID 38910332›Full record

ArticleHealth policy and planning2024

Shifting roles of community health workers in the prevention and management of noncommunicable disease during the COVID-19 pandemic: a scoping review.

Tilahun Haregu, Peter Delobelle, Abha Shrestha, Jeemon Panniyammakal, Kavumpurathu Raman Thankappan, Ganeshkumar Parasuraman, Darcelle Schouw, Archana Ramalingam, Ayuba Issaka, Yingting Cao and 2 more

Abstract readScoping Review
In one paragraph

Article in Health policy and planning, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tilahun HareguNCD and Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Peter DelobelleChronic Disease Initiative for Africa, University of Cape Town, J47/86 Old Main Building, Groote Schuur Hospital Observatory, 7925 Cape Town, South Africa.
Abha ShresthaNCD and Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Jeemon PanniyammakalAchutha Menon Centre for Health Science Studies (AMCHSS), Sree Chitra Tirunal Institute of Medical Science and Technology, Trivandrum, India.
Kavumpurathu Raman ThankappanPublic Health, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Ganeshkumar ParasuramanNational Institute of Epidemiology, Chennai, Tamil Nadu, India.ORCID 0000-0001-7466-7965
Darcelle SchouwDivision of Family Medicine and Primary Care, Stellenbosch University, PO Box 241, Cape Town 8000, South Africa.
Archana RamalingamNational Institute of Epidemiology, Chennai, Tamil Nadu, India.
Ayuba IssakaNCD and Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Yingting CaoNCD and Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Naomi LevittChronic Disease Initiative for Africa, University of Cape Town, J47/86 Old Main Building, Groote Schuur Hospital Observatory, 7925 Cape Town, South Africa.
Brian OldenburgNCD and Implementation Science Lab, Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community Health Workers (CHWs) play a crucial role in the prevention and management of noncommunicable diseases (NCDs). The COVID-19 pandemic triggered the implementation of crisis-driven responses that involved shifts in the roles of CHWs in terms of delivering services for people with NCDs. Strategically aligning these shifts with health systems is crucial to improve NCD service delivery. The aim of this review was to identify and describe COVID-19-triggered shifting roles of CHWs that are promising in terms of NCD service delivery. We searched Ovid Medline, Embase, CINAHL, Web of Science and CABI for Global Health for relevant articles published between 1 January 2020 and 22 February 2022. Studies that were conducted within a COVID-19 context and focused on the shifted roles of CHWs in NCD service delivery were included. We used Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to report the findings. A total of 25 articles from 14 countries were included in this review. We identified 12 shifted roles of CHWs in NCD service delivery during COVID-19, which can be categorized in three dimensions: 'enhanced' role of CHWs that includes additional tasks such as medication delivery; 'extended' roles such as the delivery of NCD services at household level and in remote communities; and 'enabled' roles through the use of digital health technologies. Health and digital literacy of people with NCDs, access to internet connectivity for people with NCDs, and the social and organizational context where CHWs work influenced the implementation of the shifted roles of CHWs. In conclusion, the roles of CHWs have shifted during the COVID-19 pandemic to include the delivery of additional NCD services at home and community levels, often supported by digital technologies. Given the importance of the shifting roles in the prevention and management of NCDs, adaptation and integration of these shifted roles into the routine activities of CHWs in the post-COVID period is recommended.

Indexed as

Community Health WorkersCOVID-19Delivery of Health CareNoncommunicable DiseasesProfessional RoleHumansPandemicscommunity health workersCOVID-19noncommunicable diseasesroles

Identifiers

PMID38910332
PMCPMC11308610

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.